AG 11-093 - AMERICAN RED CROSSRETURN TO: Craig Feldman
EXT: 6945
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
1. ORIGINATING DEPT./DN: PRCS
2. ORIGINATING STAFF PERSON: C1tAiG FELD�vt,�tv
EXT: 6945 3. DATE REQ. BY: ASAP
4. TYPE OF DOCUMENT (CHECK ONE):
❑ CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ)
❑ PUBLIC WORKS CONTRACT ❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT
❑ PROFESSIONAL SERVICE AGREEMENT ❑ MAINTENANCE AGREEMENT
❑ GOODS AND SERVICE AGREEMENT ❑ HUMAN SERVICES / CDBG
❑ REAL ESTATE DOCUMENT ❑ SECURITY DOCUMENT �E.G. BOND RELATED DOCUMENTS)
❑ ORDINANCE ❑ RESOLUTION
❑ CONTRACT AMENDMENT (AG#): ❑ INTERLOCAL
X OTHER AUTHORIZED PROVIDER AGREEMENT
S. PROJECT NAME: AMERICAN RED CROSS AUTHORIZED PROVIDER AGREEMENT
6. NAME OF CONTRACTOR: AMERICAN RED CROSS
ADDRESS: PO BOX 3097 SEATTLE wa. 98114
E-MAIL: MICHAEL.DILL�Y"� U.SEATI'LEREDCROSS.ORG
SIGNATURE NAME: M1Cx.a�L D1t,LEY
TELEPHONE 206-726-3544
FAX: 206-726-3527
TITLE AUTHORIZED PROVIDER REPRESENTITIVE
7. EXHIBITS AND ATTACHMENTS: ❑ SCOPE WORK OR SERVICES ❑ COMPENSATION ❑ INSURANCE REQUIREMENTS/CERTIFICATE ❑ ALL
OTHER REFERENCED EXHIBITS ❑ PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS
8. TERM: COMMENCEMENT DATE: APR1L 1 , 2011 COMPLETION DATE: AUTOMATIC 1 YEAR RENEWALS UNLESS TERMINATED
9. TOTAL COMPENSATION $�% �� (INCLUDE EXPENSES AND SALES TAX, IF ANY)
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: O YES ❑ NO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED ❑ YES ❑ NO IF YES, $ PAID BY: ❑ CONTRACTOR O CITY
❑ PURCHASING: PLEASE CHARGE TO: �; ��
10. DOCUMENT/CONTRACT REVIEW . ITIAL/ AT R
�� � � INITIAL / DATE APPROVED �
X PROJECT MANAGER � � `I �I
�I � �j � DIRECTOR
❑ RISK MANAGEMENT (tF arrLicaBLE)
9I� �r.aw ��' ' ��
11. COUNCIL APPROVAL (IF APPLICABLE� COMMITTEE APPROVAL DATE: COUNCIL APPROVAL DATE:
12. C NTRACT SIGNATURE ROUTING ,/��
�ENT TO VENDOR/CONTRACTOR DATE SENT: � � DATE REC'D: ' l'V I �
❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
INITIAL / DATE SIGNED
❑ LAW DEPARTMENT
�SIGNATORY (� DiRECTOx)
s(��� �1 CITY CLERK
� ASSIGNED AG#
SIGNED COPY RETURNED
!
AG#
DATE SENT: ' Z� ��
I 1/9
American R�d Cross Authorized Provider Agreement
This Authorized Provider Agreement ("Agreement") effective as of April 1 st, 2011 ("Effective Date") is between
American Red Cross Serving King & Kitsap Counties
(The "Chapter")
And
The City of Federal Way
(The "Authorized Provider" or "AP")
The Chapter is a unit of the American National Red Cross, a not-for-profit corporation chartered by an act of U.S.
Congress, the principal place of business of which is located at 1900 25`�' Ave S., Seattle, WA 98144 and among other
things, provides first aid, CPR, aquatics, water safety, HN/AIDS prevention education, mission-related caregiving
and other health and safety education programs.
The principal place of business of the AP is located at The Federal Way Community Center located at 876 South 333`
Federal Way, WA. 98003-6325 ;
The Chapter desires to work with the AP to provide American Red Cross training in the jurisdiction set forth in
Section 4 below.
In consideration of the statements, terms and conditions contained within this Agreement, the Chapter and the AP (the
"Parties"), intend to be bound by this Agreement and agree to the following:
1.0 Responsibilities of the Chapter:
The Chapter shall:
1.1 Support the health and safety education of the AP's employees, members, and/or clients in the AP's provision
of American Red Cross training Courses ("Courses") at the fees set forth in Apvendix A. The guaranteed AP
fees set forth in Appendix A shall include record keeping, certificate approval processing, administration,
promotional assistance, and support services ("AP Fee"). Any Additional Services ("Additional Services")
may be available for additional fees as outlined in Appendix A. Fees in Appendix A may change pursuant
Section 3.0.
t.2 Train all potential instructors from the AP to teach the Courses at the fees ("Training Fees") set forth in
Appendix A so long as such instructors meet the American Red Cross training prerequisites. These potential
instructors shall be certified as American Red Cross Health and Safety instructors upon successful completion
of the training and upon signing an Agreement to teach the Courses. A complete list of the AP's instructors is
set forth in Appendix B, which shall be unilaterally modified by the Chapter in the event instructors are added
or deleted. Fees in Appendix A may change pursuant Section 3.0.
1.3 Upon request and depending on availability: (a) subject to Para�raph 2.10, use best efforts to provide
the AP with equipment that the AP does not possess which is necessary for an instructor to provide the
Course(s) as listed, and at the rental fees, set forth in Appendix A('Bquipment and Supplies"); and (b)
provide the Course Materials ("Course Materials") and Instructor Materials ("Instructor Materials") as set
forth in Appendix A . If the fees in Appendix A change the Chapter will notify the AP a minimum of 30 days
prior to implementation. Fees in Apnendix A may change pursuant Section 3.0.
1.4 Maintain all Course Records ("Course Record") provided to the Chapter by an instructor for a period of seven
(7) years following the date of the Course.
1.5 Support and evaluate the instructors by providing them with the following: (a) Applicable policies and
procedures and any revisions or modifications thereto; (b) Upon expiration of an instructor's authorization,
December 2010
reauthorize such instructors so long as such instructors meet American Red Cross reauthorization
requirements; and (c) Opportunities for volunteer and professional skill development with the Chapter.
1.6 Provide invoice to the Authorized Provider within 30 days unless otherwise specified in Apnendix A, for the
fees related to the Courses, equipment rental, and Course/Instructor Materials, Additional Services, training,
and retraining of Course Participants ("Course Participants") as set forth in Para�raph 1.9 below.
1.7 Verify all instructor certifications and notify the AP in the event an instructar is no longer certified to teach
Courses.
1.8 Throughout the term of this Agreement (as defined in Paragraph 5. t), maintain a close and ongoing
supportive relationship with the AP and its instructors by contacting the AP a minimum of 4 times per year.
1.9 If during any phase of evaluation, the training conducted by an AP's instructor is found to be below minimum
American Red Cross standards for that Course and the Chapter determines that retraining is required for the
participants that attended the Course where training was found to be below minimum standards, the retraining
will be conducted by the Chapter. The AP will be responsible for the cost of retraining as outlined in
Para�raph 2.4. The Chapter will invoice the AP for the cost of the training at the amount equal to the
published full service contract price or the training price minus the cost of books and materials the Course
Participants may already have. The Chapter also reserves the right to suspend or withdraw the authorization of
an instructor for due cause. Due cause generally means that the instructor does not or will not abide by the
standards, policies, or procedures of the Red Cross and its programs or in some way abuses the position of a
certified Red Cross instructor. Some examples follow here but are by no means exhaustive; each case is
reviewed individually, taking into account all relevant circumstances. Examples are—
a. An instructor refuses to teach a nationally standardized Course according to the guidelines and Course
requirements or is found to be deficient in either knowledge or performance skills.
b. An instructor falsifies records or provides false information to the Chapter.
c. An instructor consistently fails to communicate his or her teaching activity in an appropriate way to the
Chapter (e.g., does not notify the Chapter when a Course is to be taught, does not process Course Record
forms within 10 working days, and so forth).
d. An instructor exhibits behavior inconsistent with standards established and agreed to in the Instructor
Agreement and expected of a Red Cross instructor, as indicated by repeated poor evaluations from
participants, or behaves in ways that participants find offensive or insulting (e.g., making sexual advances
or telling racially, socially, or sexually insensitive jokes).
e. An instructor behaves in ways that do not reflect support for the American Red Cross as an organization
and that, in fact, could harm the public perception of the American Red Cross in the community.
f. An instructor is convicted of a violent or serious crime, such as sexual molestation, embezzlement,
assault, or any crime that calls into question his or her teaching or leadership responsibilities.
1.10 Designate Michael Dilley as a representative of the Chapter to act as a point of contact to the AP at the
address and telephone number set forth in Section 7 below ("Chapter Representative") and notify the AP
within 60 days if that individual changes.
1.11 Arrange for electronic submission of course records. Within ten business days after receipt of a properly
completed course record, approve such record and make course participant certificates and/or transcripts
electronically available or, if requested, arrange for the certificates to be delivered to the AP at the address as
set forth in Section 7.
1.12 As needed and upon request, provide the AP with any American Red Cross promotional materials for use by
the AP in promoting the Courses.
1.13 Support the Authorized Provider by providing access to the American Red Cross Learning Center. The Center
will allow the Authorized Provider instructor to access:
• Training records online.
2
December 2010
• Automatic training updates and alerts
• Course record entry and certificate printing
• Instructor certificates and transcript
1.14 Permit electronic access to, as well as downloading and printing of Course Materials.
2.O Responsibilities of the AP:
The AP shall:
2.1 Identify qualified instructor candidates to be trained and certified as instructors and inform the Chapter when
it becomes aware of any modifications that should be made to Appendix B.
2.2 Support each instructor's compliance with American Red Cross policies and procedures by ensuring that such
Instructors: (a) Are available to participate in periodic training, retraining or other related events throughout
the term to gain and maintain sufficient levels of skill, knowledge and understanding to conduct the Courses;
(b) Supply only American Red Cross Course Materials for use during the Courses, (c) Provide visual
identification of the American Red Cross name and emblem during the Courses using materials provided or
approved by the Chapter; and (d) Submit properly completed electronic or hard copy Course Records
evaluation forms to the Chapter within ten (10) business days of Course completion unless special
arrangements are made with the Chapter.
23 With respect to the Course Participants: (a) Notify Course Participants that they will be participating in
American Red Cross Courses in accordance with American Red Cross standards; (b) In advance of each
Course, provide Course Participants with information about Course prerequisites, completion requirements,
and other necessary information; (c) Ensure that Course Participants who have successfully met the Course
prerequisites, objectives, and certification requirements receive American Red Cross certificates.
2.4 Reimburse the Chapter for retraining of Course Participants conducted pursuant to Para�raph 1.9. The cost of
the retraining will be at the amount equal to the published full service contract price minus the cost of books
and materials the Course Participants may already have.
2.5 Provide payment to the Chapter within 30 days unless otherwise specified in Appendix A.
2.6 Provide to the Chapter the names and copies of the certifications of any previously certified Red Cross
instructors that are new to the AP at least ten (10) days before the instructor teaches a Course in order for the
Chapter to ensure that such instructor is qualified to be the instructor.
2.7 Notify the Chapter of dates, times, and locations for each Course at least 0 days before the Course start date.
2.8 Obtain the appropriate Course Materials in quantities sufficient for each Course Participant to have and retain
his or her own copy. Course participant materials may be downloaded, reused or purchased.
2.9 Refrain from revising or editing Course Materials, in whole or in part, including, but not limited to Course
videos, for teaching Courses or for any other purpose, unless specifically approved in writing by the
American National Red Cross. Requests for any modifications to the materials are to be channeled through
the Chapter. The AP understands and agrees that all such promotional materials must be provided by the
Chapter, or approved by the Chapter in advance of publication.
2.10 Maintain responsibility for the equipment and promptly return such equipment to the Chapter in the same
condition the equipment was received by the AP. The AP shall be responsible for the cost of any damage to
such equipment while in the possession of the AP. Upon receipt and inspection of the equipment, the AP shall
December 2010
report to the Chapter any equipment in need of service, repair, or replacement.
2.11 Be responsible for all claims and liabilities of any nature whatsoever that arise out of an AP offered Red
Goss Course. Red Cross insurance does not extend to the AP or its instructors. Therefore, it is the
responsibility of the AP to obtain adequate insurance to cover its operations and Course instruction.
2.12 Designate Craig J. Feldman, Aquatics Coordinator as a representative of the AP to act as a point of contact to
the Chapter at the address and telephone number set forth in Section 7 below and notify the Chapter within 60
days if that individual changes. In the event the AP has multiple facilities, the individuals set forth in
Appendix C shall serve as additional points of contact.
2.13 Provide classrooms and other facilities to teach the Courses that are safe, conducive to learning and meet the
minimum space requirements as set forth in the Instructor Materials. The AP shall allow the Chapter
Representative or a designee to inspect the AP's real and personal property used to teach the Courses and to
perform random observations of the instructors during the provision of Courses.
2.14 Submit any literature or materials using the name and/or emblem of the American Red Cross to the Chapter
for written approval before printing or distribution of such literature or materials.
2.15 Encourage its instructors to provide volunteer services for the American Red Cross.
3.0 Chapter Fees:
The Chapter reserves the right to change the fees contained in Appendix A at its sole discretion. The Chapter
will notify the AP a minimum of 30 days prior to the effective date of any such fee changes. As part of this
notice, the Chapter will provide the AP with a new Appendix A. If the AP does not agree to the fee changes,
it has the right to terminate the Agreement pursuant to Section 5. Changes to Appendix A will not effect any
other provisions contained within this Agreement.
4.0 Jurisdiction of Agreement:
This Agreement is limited to the geographical jurisdiction of the American Red Cross Chapter(s) and at the
locations set forth below:
Cha ter Geo ra hical Jurisdiction Coun , Ci , State
ARC — King & Kitsap King and Kitsap Counties, Washington State
Counties
5.0 Term and Termination:
5.1 This Agreement shall commence on the effective date with automatic one-year renewals thereafter on the
anniversary of the commencement date, unless either Party gives written notice to the other of its desire not to
renew at least 30 days prior to the commencement of any renewal period, or unless otherwise terminated
sooner in accordance withParagraph 5.2 ofthis Agreement (the "Term").
5.2 At any time, either Party may terminate this Agreement with thirty (30) days written notice to the non-
terminating PaMy.
53 Upon termination of this Agreement, the obligations of both Parties, including, but not limited to the
provision of payment, shall remain in effect until all scheduled Courses are completed. Upon termination or
expiration of this Agreement, any and all (icenses or permissions granted to use intellectual property will
terminate immediately and may not be assigned or sub-licensed.
5.4 In the event of any termination of this Agreement, the Parties are still obligated and committed to follow the
provisions of Sections 6, 7, 8, 12 and this Para�ra�h 5.4 indefinitely.
December 2010
6.0 Limitation of Liability:
Notwithstanding anything in this Agreement to the contrary, neither Party shall be liable to the other for any
loss or damage arising as a result of breach, non-performance or partial performance of its obligations under
this Agreement due to any cause beyond that Party's reasonable control and without its fault or negligence.
7.0 Notices:
All notices to include appendices that each Party is reyuired to give to the other Party shall be given to each of
the Parties in writing to the names and addressees as follows:
If to the Chapter:
Chapter Name: American Red Cross Serving King & Kitsap Counties
Address: PO Box 309'7, Seattle, WA 98114-3097
Attn: Michael Dilley
Phone Number: 206-726-3544
Fax Number: 206-726-3527
E-mail Address: michael.dilley@seattleredcross.org
If to the AP:
AP Name:
Address:
Attn:
Phone Number:
Fax Number:
E-mail Address
City OF Federal way
876 South 333� Federal Way,
Craig J. Feldman
253-835-6945
253-835-6939
craig.feldman@cityoffederalway.com
WA. 98003-6325
Notice of termination of this Agreement by either Party must be delivered by certified U.S. First-Class Mail,
return receipt requested.
8.0 Confidentiality and Trade Names:
8.1 Except as otherwise provided herein, each Party shall maintain the confidentiality of all provisions of this
Agreement. Without the prior written consent of the other Pariy, neither Party shall make any press release or
other public announcement of, or otherwise disclose, this Agreement or any of its provisions to any third
Party except for such disclosures as may be required by applicable law or regulation, in which case the
disclosing Party shall provide the other Party with prompt advance notice of such disclosure so the other Party
has the opportunity, if it so desires, to seek a protective order or other appropriate remedy.
8.2 Each Party recognizes that the name, logo and marks of the other Party represent valuable assets of that Party
and that substantial recognition and goodwill are associated with such assets. Each Party hereby agrees that
neither it nor any of its affiliates shall use the other Party's name, logo or marks without prior written
authorization from such other Party. Upon conclusion of the this Agreement, any and all licenses granted to
use the other's name, logo or marks will terminate immediately and may not be assigned or sub-licensed. Any
such authorization that may be granted may be revoked at any later time with written notice.
8.3 This Agreement neither grants nor transfers any rights in any of the American Red Cross or Chapter's Courses
or Course Materials or other intellectual property to customer and use of these materials shall inure solely to
the benefit of the Red Cross.
December 2010
9.0 Entire Agreement and Amendments:
9.1 Concerning the subject matter hereof, this Agreement constitutes the entire Agreement between the Parties
and supersedes all prior Agreements and undertakings, both written and oral, between the Parties.
9.2 This Agreement shall not be amended or otherwise modified unless both of the Parties affirmatively and
unanimously agree to such amendment and/or modification in writing.
10.0 Severability:
In the event any provision of this Agreement is held invalid, illegal or unenforceable (any such provision, an
"Invalid Provision") in any jurisdiction, the Parties shall promptly negotiate in good faith a lawful, valid and
enforceable provision. This new provision must be as similar in terms to the invalid provision as may be
possible in order to keep with the intention of the original Agreement.
11.0 Exculpatory Clause:
It is understood and agreed that wherever in this Agreement the term "Chapter" is used it shall mean the
Chapter(s) of The American National Red Cross set forth in Section 4; that said Chapter(s) are duly
constituted local unit of The American National Red Cross, a federal instrumentality (36 U.S. Code 1 et seq.);
and that all obligations of the "Chapter" under this Agreement shall be undertaken and completed exclusively
by said Chapter(s) without resort in any event to, or commitment of, the funds and property of the American
National Red Cross or any unit thereof other than the Chapter(s).
12.0 Independent Contractors:
Each of the Parties shall be furnishing its services hereunder as an independent contractor, and nothing herein
shall create any association, partnership or joint venture between the Parties or an employer-employee
relationship. No agent, employee or servant of either Party shall be, or shall be deemed to be, the employee,
agent or servant of the other Party, and each Party shall be solely and entirely responsible for its acts and the
acts of its agents, employees and servants.
13.0 Assignment and Subcontracting:
This Agreement shall not be assigned in whole or in part and no Party shall delegate or subcontract all or part of its
duties under this Agreement without the prior written consent of the other Party.
IN WITNESS WHEREOF, the Parties hereto, acting through their duly authorized officers, have executed
this Agreement as of the Effective Date.
SIGNATURE:
DATE:
PRINTED NAME:
TITLE:
PHONE NUMBER:
CHAPTER
RE RESENTATIVE
�/' /S 1 �� �l
Michael Dilley
Authorized Provider and Instructor
Support Specialist
206-726-3 544
FAX NUMBER: 206-726-3527
E-MAIL: michaeldilley;t�r�.seattleredcross.or�
AUTHORIZED PROVIDER
REPRE TATIVE
.
J �
Cary Roe
Public Works, Park, Recreation and
Cultural Service Director
253-835-2710
253-835-2709
cary.ro e@cityoffederalway. com
December 2010
APPENDIX A
COURSES, EQUIPMENT, MATERIALS AND FEES
A. Courses: Learn To Swim, Lifeguarding, Water Safety Instructor, CPR, First Aid, Bloodborn Pathogens
B. Equipment and Supplies: Call 206.726.3536 or visit our website: www.seattleredcross.or� for
current prices and rental information.
C. Course/Instructor Materials: All instructor materials are provided during training. Student books
and materials are sold through your local chapter. Call 206.726.3536 or visit our website:
www.seattleredcross.or� for current prices.
D. Training Fees:
Fee Descri tion Fee Unit
Authorized Provider Fees for rosters submitted to the chapter for $10.00 Per Person
processin
Authorized Provider Fees for rosters entered into the ARC Learning $8.00 Per Person
Center by the AP Instructor
E. Special billing or payment instructions: N/A
F. Additional Services: If you would like to submit your course rosters via email or on line direcfly into
the ARC Learning Center, please contact Michael Dilley at michael.dilley�a�seattleredcross.org for
more information.
December 2010
APPENDIX B
INSTRUCTORS
Name Contact Information Home Chapter Current
including Instructor
address, phone and Certification
mail
Craig Feldman 876 South 333` Federal I�ing/Kitsap LGI, WSI, WSIT
Way, WA. 98003-6325
253-835-6945
Christie Welsh 876 South 333rd Federal King/ Kitsap LGI, WSI
Way, WA. 98003-6325
. 253-835-6945
Ryan Taylor 876 South 333rd Federal King/ Kitsap LGI, WSI
Way, WA. 98003-6325
253-835-6945
Gaylynn Smith King/Kitsap LGI, WSI
Justin Bos King/Kitsap WSI
Sierra Crawford King/Kitsap WSI
Matthew Dizon King/Kitsap WSI
Anthony Ettel King/Kitsap LGI, WSI
December 2010
APPENDIX B
INSTRUCTORS
Name Contact Information Home Chapter Current
including Instructor
address, phone and Certification
mail
Kristin Evans King/Kitsap WSI
Naomi Forward King/ Kitsap WSI
Thomas Gosiewski King/Kitsap WSI
Jennifer Larsen King/Kitsap WSI
Hailey MacConaghy King/Kitsap WSI, LGI
Michael Reusser King/Kitsap WSI
Maxim Tomilov King/KitsapKing/ WSI
Kitsap
Jessica Bodle King/KitsapKing/ WSI
Kitsap
December 2010
�
APPENDIX B
INSTRUCTORS
Name Contact Information Home Chapter Current
including Instructor
address, phone and Certification
mail
Crystal Williams King/Kitsap WSI
Courtney Wingard King/ Kitsap WSI
Stephanie Bluhm King/ Kitsap WSI
t0
December 2010